Patientsʼ preferences for intensive care
OBJECTIVESTo determine patientsʼ preferences for intensive care and to evaluate the influence of a recent ICU experience on preferences for future ICU treatment. DESIGNSurvey of nonrandomized patient sample using structured interviews. SETTINGLarge, urban, tertiary academic medical center. PATIENTSE...
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| Veröffentlicht in: | Critical care medicine 1992-01, Vol.20 (1), p.43-47 |
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| container_title | Critical care medicine |
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| creator | ELPERN, ELLEN H PATTERSON, PATRICIA A GLOSKEY, DEBORAH BONE, ROGER C |
| description | OBJECTIVESTo determine patientsʼ preferences for intensive care and to evaluate the influence of a recent ICU experience on preferences for future ICU treatment.
DESIGNSurvey of nonrandomized patient sample using structured interviews.
SETTINGLarge, urban, tertiary academic medical center.
PATIENTSEighty-four adult inpatients discharged from the medical ICU between June and August 1990.
MEASUREMENTSAgreement with life-supportive care under each of four potential outcome scenarios was assessed on a 5-point scale. An overall preference score was created by summing scores for the four items. Patients were also asked about their recent experiences in the ICU.
RESULTSPatients identified sources of stress associated with their ICU stay, yet most (76%) rated their ICU experience positively. Preferences for future intensive care varied with perceived outcome, and were strongest for health restoration and weakest for persistent vegetative states. No significant relationships were found between ICU preferences and any demographic or clinical variable except race.
CONCLUSIONSPatients tolerate intensive care well and desire it to restore health. Most patients modify their desire for intensive care if less favorable outcomes are likely. Patientsʼ preferences for intensive care cannot be predicted from demographic features or previous ICU experiences. (Crit Care Med 1992; 20:43) |
| doi_str_mv | 10.1097/00003246-199201000-00014 |
| format | Article |
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DESIGNSurvey of nonrandomized patient sample using structured interviews.
SETTINGLarge, urban, tertiary academic medical center.
PATIENTSEighty-four adult inpatients discharged from the medical ICU between June and August 1990.
MEASUREMENTSAgreement with life-supportive care under each of four potential outcome scenarios was assessed on a 5-point scale. An overall preference score was created by summing scores for the four items. Patients were also asked about their recent experiences in the ICU.
RESULTSPatients identified sources of stress associated with their ICU stay, yet most (76%) rated their ICU experience positively. Preferences for future intensive care varied with perceived outcome, and were strongest for health restoration and weakest for persistent vegetative states. No significant relationships were found between ICU preferences and any demographic or clinical variable except race.
CONCLUSIONSPatients tolerate intensive care well and desire it to restore health. Most patients modify their desire for intensive care if less favorable outcomes are likely. Patientsʼ preferences for intensive care cannot be predicted from demographic features or previous ICU experiences. (Crit Care Med 1992; 20:43)</description><identifier>ISSN: 0090-3493</identifier><identifier>EISSN: 1530-0293</identifier><identifier>DOI: 10.1097/00003246-199201000-00014</identifier><identifier>PMID: 1729042</identifier><identifier>CODEN: CCMDC7</identifier><language>eng</language><publisher>Hagerstown, MD: Williams & Wilkins</publisher><subject>Academic Medical Centers ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Attitude to Health ; Bioethics ; Biological and medical sciences ; Chicago - epidemiology ; Choice Behavior ; Critical Care - psychology ; Critical Care - standards ; Emergency and intensive care: techniques, logistics ; Female ; Health Services Research ; Humans ; Intensive care medicine ; Life Support Care - psychology ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Outcome Assessment (Health Care) ; Patient Acceptance of Health Care ; Patient Participation ; Patient Satisfaction ; Risk Assessment ; Severity of Illness Index ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Stress, Psychological - psychology ; Surveys and Questionnaires</subject><ispartof>Critical care medicine, 1992-01, Vol.20 (1), p.43-47</ispartof><rights>Williams & Wilkins 1992. All Rights Reserved.</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3844-bc98e6d9e086cacb42baf821c4ef0958fac5e9cb052ded8ad1c6b6f9564a917b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5192605$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1729042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ELPERN, ELLEN H</creatorcontrib><creatorcontrib>PATTERSON, PATRICIA A</creatorcontrib><creatorcontrib>GLOSKEY, DEBORAH</creatorcontrib><creatorcontrib>BONE, ROGER C</creatorcontrib><title>Patientsʼ preferences for intensive care</title><title>Critical care medicine</title><addtitle>Crit Care Med</addtitle><description>OBJECTIVESTo determine patientsʼ preferences for intensive care and to evaluate the influence of a recent ICU experience on preferences for future ICU treatment.
DESIGNSurvey of nonrandomized patient sample using structured interviews.
SETTINGLarge, urban, tertiary academic medical center.
PATIENTSEighty-four adult inpatients discharged from the medical ICU between June and August 1990.
MEASUREMENTSAgreement with life-supportive care under each of four potential outcome scenarios was assessed on a 5-point scale. An overall preference score was created by summing scores for the four items. Patients were also asked about their recent experiences in the ICU.
RESULTSPatients identified sources of stress associated with their ICU stay, yet most (76%) rated their ICU experience positively. Preferences for future intensive care varied with perceived outcome, and were strongest for health restoration and weakest for persistent vegetative states. No significant relationships were found between ICU preferences and any demographic or clinical variable except race.
CONCLUSIONSPatients tolerate intensive care well and desire it to restore health. Most patients modify their desire for intensive care if less favorable outcomes are likely. Patientsʼ preferences for intensive care cannot be predicted from demographic features or previous ICU experiences. (Crit Care Med 1992; 20:43)</description><subject>Academic Medical Centers</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Attitude to Health</subject><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Chicago - epidemiology</subject><subject>Choice Behavior</subject><subject>Critical Care - psychology</subject><subject>Critical Care - standards</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Female</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Life Support Care - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Acceptance of Health Care</subject><subject>Patient Participation</subject><subject>Patient Satisfaction</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0090-3493</issn><issn>1530-0293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1KxDAQgIMo67r6CEIPInio5rftHEX8gwU96Dmk6YStdts1aV18N5_ApzLrruvJwBCG-WYSviEkYfScUcgvaDyCyyxlAJyymKUxmNwhY6ZETDiIXTKmFGgqJIh9chDCy4pQuRiREcs5UMnH5OzR9DW2ffj6TBYeHXpsLYbEdT6p2x7bUL9jYo3HQ7LnTBPwaHNPyPPN9dPVXTp9uL2_upymVhRSpqWFArMKkBaZNbaUvDSu4MxKdBRU4YxVCLakildYFaZiNiszByqTBlheigk5Xc9d-O5twNDreR0sNo1psRuCznkuhMghgsUatL4LIf5dL3w9N_5DM6pXlvSvJb21pH8sxdbjzRtDOcfqr3GtJdZPNnUTrGmcN62twxZTDHhGVcTkGlt2TY8-vDbDEr2eoWn6mf5vR-IbrXV-_Q</recordid><startdate>199201</startdate><enddate>199201</enddate><creator>ELPERN, ELLEN H</creator><creator>PATTERSON, PATRICIA A</creator><creator>GLOSKEY, DEBORAH</creator><creator>BONE, ROGER C</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199201</creationdate><title>Patientsʼ preferences for intensive care</title><author>ELPERN, ELLEN H ; PATTERSON, PATRICIA A ; GLOSKEY, DEBORAH ; BONE, ROGER C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3844-bc98e6d9e086cacb42baf821c4ef0958fac5e9cb052ded8ad1c6b6f9564a917b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Academic Medical Centers</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Attitude to Health</topic><topic>Bioethics</topic><topic>Biological and medical sciences</topic><topic>Chicago - epidemiology</topic><topic>Choice Behavior</topic><topic>Critical Care - psychology</topic><topic>Critical Care - standards</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Female</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Life Support Care - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Acceptance of Health Care</topic><topic>Patient Participation</topic><topic>Patient Satisfaction</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - etiology</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ELPERN, ELLEN H</creatorcontrib><creatorcontrib>PATTERSON, PATRICIA A</creatorcontrib><creatorcontrib>GLOSKEY, DEBORAH</creatorcontrib><creatorcontrib>BONE, ROGER C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ELPERN, ELLEN H</au><au>PATTERSON, PATRICIA A</au><au>GLOSKEY, DEBORAH</au><au>BONE, ROGER C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patientsʼ preferences for intensive care</atitle><jtitle>Critical care medicine</jtitle><addtitle>Crit Care Med</addtitle><date>1992-01</date><risdate>1992</risdate><volume>20</volume><issue>1</issue><spage>43</spage><epage>47</epage><pages>43-47</pages><issn>0090-3493</issn><eissn>1530-0293</eissn><coden>CCMDC7</coden><abstract>OBJECTIVESTo determine patientsʼ preferences for intensive care and to evaluate the influence of a recent ICU experience on preferences for future ICU treatment.
DESIGNSurvey of nonrandomized patient sample using structured interviews.
SETTINGLarge, urban, tertiary academic medical center.
PATIENTSEighty-four adult inpatients discharged from the medical ICU between June and August 1990.
MEASUREMENTSAgreement with life-supportive care under each of four potential outcome scenarios was assessed on a 5-point scale. An overall preference score was created by summing scores for the four items. Patients were also asked about their recent experiences in the ICU.
RESULTSPatients identified sources of stress associated with their ICU stay, yet most (76%) rated their ICU experience positively. Preferences for future intensive care varied with perceived outcome, and were strongest for health restoration and weakest for persistent vegetative states. No significant relationships were found between ICU preferences and any demographic or clinical variable except race.
CONCLUSIONSPatients tolerate intensive care well and desire it to restore health. Most patients modify their desire for intensive care if less favorable outcomes are likely. Patientsʼ preferences for intensive care cannot be predicted from demographic features or previous ICU experiences. (Crit Care Med 1992; 20:43)</abstract><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>1729042</pmid><doi>10.1097/00003246-199201000-00014</doi><tpages>5</tpages></addata></record> |
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| ispartof | Critical care medicine, 1992-01, Vol.20 (1), p.43-47 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Academic Medical Centers Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Attitude to Health Bioethics Biological and medical sciences Chicago - epidemiology Choice Behavior Critical Care - psychology Critical Care - standards Emergency and intensive care: techniques, logistics Female Health Services Research Humans Intensive care medicine Life Support Care - psychology Male Medical sciences Middle Aged Miscellaneous Outcome Assessment (Health Care) Patient Acceptance of Health Care Patient Participation Patient Satisfaction Risk Assessment Severity of Illness Index Stress, Psychological - epidemiology Stress, Psychological - etiology Stress, Psychological - psychology Surveys and Questionnaires |
| title | Patientsʼ preferences for intensive care |
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